With the 2015 Medicare Physician Fee Schedule(MPFS), CMS began a dialogue about how the growing trend toward hospital acquisition of physician offices and subsequent treatment of those locations as off-campus provider-based outpatient departments was impacting Medicare reimbursement and overall Medicare spending.
In the first of two reports for 2015, the Medicare Payment Advisory Commission (MedPAC) issued its report on the state of Medicare reimbursement and enrollment.
In a vote late Tuesday evening the Senate voted 92-8 to kill the Medicare Sustainable Growth Rate (SGR) formula ending an almost 18 year headache for physicians and Congress. The bill will now go to President Obama. Obama has already expressed his support for the bill and is expected to sign it into law.
WEDI recently updated its survey on ICD-10 preparation on the part of providers, software and service vendors and payors. The results point to some progress has been made especially on the part of payors but that there is still a sluggish response on the part of many vendors and providers perhaps lulled into a potentially false hope of another delay.
In 2013, in an effort to clarify Medicare medical necessity policy around hospital inpatient admissions, CMS issued a policy specifying that an admission will qualify for Part A reimbursement when a physician certifies that a patient’s treatment is expected to require an inpatient stay spanning two midnights.
In our last blog post, we began a deeper dive into the MACRA legislation - the legislation recently passed by the House to fix the Sustainable Growth Rate (SGR) system that creates such uncertainty in physician reimbursement every year.